82R9025 RWG-F
By: Zedler H.B. No. 3430
A BILL TO BE ENTITLED
AN ACT
relating to certain requirements in connection with review
determinations by an independent review organization.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 413.031, Labor Code, is amended by
adding Subsection (j-1) to read as follows:
(j-1) After an independent review organization has issued a
decision under Subsection (d), a party may request a letter of
clarification from the independent review organization. The party
making the request shall send a copy of the request to each party
involved in the dispute. A request for clarification may request
that the independent review organization reconsider its decision or
issue a new decision. On receipt of a request for clarification, the
independent review organization shall reconsider its decision and
either clarify the original decision or issue a new decision.
SECTION 2. Section 4202.009, Insurance Code, is repealed.
SECTION 3. Section 413.031(j-1), Labor Code, as added by
this Act, applies only to the review of a medical service conducted
on or after the effective date of this Act. A review of a medical
service that is conducted before the effective date of this Act is
governed by the law in effect on the date the review was conducted,
and the former law is continued in effect for that purpose.
SECTION 4. This Act takes effect September 1, 2011.